Heart rate, Cardiology FAQ

Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective

Chest tightness and difficulty breathing? Hello, Doctor. I would like to inquire about an incident that occurred in March this year. While exercising, I suddenly felt unable to breathe, as if my airways were blocked. After resting for a while, my condition improved. I went to a h...

Dr. Huang Yinghe Reply:
Hello: Based on the symptoms you described, multiple hospital examinations have shown no cardiovascular or pulmonary issues. The purpose of these tests was to rule out any life-threatening conditions or significant organ abnormalities. Other less dangerous conditions that may cau...

Understanding Heart Palpitations: When to Worry and How to Manage

Chest tightness? Hello, Doctor. I apologize for asking you again. In March, my echocardiogram was normal, but recently I've been feeling my heartbeat more prominently when I wake up in the morning. When lying down, I can feel my heart beating more strongly. Is this considere...

Dr. He Dongjin Reply:
Hello, not seeing anything abnormal means that the sensations in your chest and heart are likely symptoms of anxiety. Experiencing heart pain in cold or hot weather can also be related to anxiety. Continuous anxiety can lead to an increased heart rate. If there are no abnormal fi...

Understanding VPCs: Common Concerns and Heart Rate Questions

Heartbeat issues Good afternoon, Director. I would like to ask you about the general concerns people have when experiencing ventricular premature contractions (VPCs). They often feel anxious and worry that their heart may not return to a normal rhythm after a VPC episode, fearing...

Dr. He Dongjin Reply:
Hello, if your heart rate has not returned to normal and you are experiencing missed beats, it's important to note that a resting heart rate of 100 beats per minute can be considered elevated. However, if you feel fine and have no other concerning symptoms, it may not be nec...

Understanding Aortic Regurgitation: Risks, Symptoms, and When to Seek Help

Aortic regurgitation Hello doctor, I am 23 years old. I would like to ask about my condition. At such a young age, I have been diagnosed with moderate to severe aortic regurgitation, moderate tricuspid regurgitation, and mild mitral regurgitation. Currently, I occasionally experi...

Dr. Wu Xueming Reply:
Moderate to severe aortic regurgitation, if it has already caused cardiac enlargement or functional abnormalities, is recommended to consult a cardiac surgeon to evaluate the need for surgical intervention.

Understanding Elevated Heart Rate During Fever: When to Seek Help

Heart rate issues Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which is normal, but my heart rate has surged to 100 beats per minute (I don't feel unwell). My usual heart rate is arou...

Dr. Cai Guiqin Reply:
Recommendation: Please seek medical examination. Thank you. Wishing you good health!

Is a Heart Rate of 170 During Jogging Normal? When to Seek Medical Advice

Jogging with a heart rate of 170 beats per minute? Hello doctor, I recently noticed that during jogging, my heart rate maintains around 170 beats per minute after about 6 to 10 minutes. However, I don't feel any discomfort. I used to experience occasional skipped beats, and ...

Dr. Wu Xueming Reply:
The changes in heart rate during exercise vary for each individual based on their fitness level and the intensity of the workout, so please adjust the exercise intensity to suit your own needs.

Understanding Elevated Heart Rate During Fever: When to Seek Help

Heartbeat issues Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which was normal, but my heart rate shot up to 100 beats per minute (I don't feel unwell). My usual heart rate is around ...

Dr. Cai Guiqin Reply:
Recommendation: Please seek medical examination. Thank you. Wishing you good health!

Understanding Your ECG: Is There Immediate Danger and Medication Duration?

Hello, Doctor. I would like to ask if my electrocardiogram indicates any immediate life-threatening conditions? If medication is necessary, how long should I take it? Hello, Director. My report is as follows: Is there a life-threatening condition? If medication is required, how l...

Dr. He Dongjin Reply:
Hello, it shouldn't reach a life-threatening situation. We can adjust the medication first and then re-evaluate after controlling your emotions. Changhua Hospital cares about you.

Understanding Palpitations: Causes, Concerns, and Heart Health Insights

Palpitations? Hello, Doctor. I apologize for bothering you, but I would like to ask about the palpitations I experienced last night while sleeping. I felt a sensation of heart palpitations, but it seemed like there were some missed ventricular contractions (VPCs). I felt anxious ...

Dr. He Dongjin Reply:
Hello, the pulse is regular, so there is no issue. The feeling of palpitations is likely caused by anxiety. A prolonged increased heart rate does not lead to heart failure. There is no need to worry about the sensation of palpitations; the heart is not as fragile as you might thi...

Understanding Heart Palpitations: Are They Linked to Anxiety?

Heartbeat sensation Hello, Doctor. I would like to ask if anxiety can cause an unusual heartbeat. Previously, I wore a 24-hour Holter monitor which showed a small number of ventricular premature contractions (VPCs), and both you and the doctor said they were harmless. My echocard...

Dr. He Dongjin Reply:
Hello, that's correct. A small amount of VPCs (ventricular premature contractions) is harmless. Occasional palpitations are also harmless. Strong heartbeats and the sensation of palpitations are often caused by anxiety. There can be detectable arrhythmias, but determining th...

Managing Heart Rate Issues with KanKen: A Patient's Inquiry

The issue of slowed heart rate after taking Kankun? Hello, Director: Since the beginning of January this year, I have been experiencing ventricular premature contractions. My doctor prescribed me 5 mg of Concor, half a tablet daily, 75 mg of Plavix, and one tablet of Lipitor. I t...

Dr. Wu Xueming Reply:
You can first reduce the dosage, and if the heart rate remains below 60 beats per minute after the reduction, you may consider discontinuing Kankun.

Understanding Heart Palpitations: Causes and Concerns for Patients

Arrhythmia with tachycardia? I'm sorry to disturb you, Director. Recently, when I lie down, my heart rate is around 70-80 bpm, but when I get up, it increases to 100-110 bpm. Walking raises it to 105-120 bpm, and when I sit back down, it drops to 80-90 bpm. Could this be a t...

Dr. He Dongjin Reply:
Hello, everything is good. The amount of missed beats is not much. The 24-hour Holter ECG shows normal results. To put it simply, your heart is in better condition than mine. A fast heartbeat is not a concern, so don't worry. Changhua Hospital cares about you.

Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations

Medication Issues Regarding Prasugrel and Heart Failure Management Hello, doctor. I would like to consult you regarding my 70-year-old family member who has a history of depression. In August 2022, he underwent the implantation of a pacemaker due to arrhythmia, with a heart rate ...

Dr. He Dongjin Reply:
Hello, the mechanism of action of different anticoagulants varies. Pradaxa primarily aims to prevent stroke and has a low risk of bleeding, with dosage adjustments possible. Current reports indicate that the bleeding risk is very low. You may discuss with your attending physician...

Does Excessive Sleep Increase Cardiovascular Risks and Heart Rate?

Palpitations and prolonged sleep? Hello, Director. Is it true that sleeping 10-12 hours a day can increase cardiovascular risk and mortality, as stated online? Also, is my resting heart rate of 87-98 bpm and a heart rate of 100-110 bpm during light activity possibly due to excess...

Dr. He Dongjin Reply:
Hello, the internet says to just take a look and live comfortably. Don't keep looking for things to scare yourself. Changhua Hospital cares about you.

Managing Heart Rate: Expert Advice on Medication and Symptoms

Medication consultation Hello, Doctor. I would like to ask about my symptoms. In the morning, when I get up and walk around, my heart rate increases to about 100-120 beats per minute, but when I lie down, it drops to around 90. I previously experienced some ventricular premature ...

Dr. He Dongjin Reply:
Hello, a heart rate of 100 beats per minute will not put a strain on the heart. Whether you take medication or not, it won't cause a rebound effect that is harmful to the heart. Antiarrhythmic medications do not have withdrawal issues, and long-term use will not pose problem...

Managing Morning Blood Pressure and Heart Rate: Expert Insights on Medication Use

Follow-up Inquiry #196108 Consultation Dear Dr. He, Thank you very much for your response and suggestions in the inquiry consultation "#196108." I would like to express my gratitude on behalf of my mother. I have some additional questions for you as follows: Q1. Recen...

Dr. He Dongjin Reply:
Hello, Q1: There are many causes of autonomic nervous system disorders, and it is difficult to pinpoint the exact reason. Q2: Taking medication when necessary does not mean it is stronger or harmful to the body. Generally, the strengths of Amlodipine (referred to as "压血泰...

Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps

Electrocardiogram (ECG) Examination Report Doctor, can atrial premature contractions cause a sensation of a "pause" followed by a rapid heartbeat of 130 to 140 beats per minute? If it only lasts for 1 to 2 seconds, I feel a sense of emptiness in my heart, but if it happ...

Dr. Wu Xueming Reply:
The examination results indicate that there are no structural or functional abnormalities of the heart, and no significant arrhythmias were found. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advised to seek medica...

Understanding Rapid Heart Rate: Anxiety or Underlying Heart Issues?

Heart rate of 150 beats per minute? I'm sorry, Director. I just had another episode. I suddenly leaked a couple of times while using the restroom, and then my heart rate increased to over 150. I took half a dose of my heart rhythm medication and half a dose of Xanax, and aft...

Dr. He Dongjin Reply:
Hello, I believe it is caused by anxiety and panic. To confirm, you should go to the emergency room for an electrocardiogram. However, taking half a dose of a heart rhythm medication and half a dose of Xanax should bring your heart rate down to 90-100. It is likely that this is p...

Managing Blood Pressure and Heart Rate in Autonomic Nervous System Disorders

Follow-up question #196144 regarding medication inquiry? Dear Dr. Wu, Thank you very much for your response and suggestions regarding the medication inquiry #196144. My mother also expresses her gratitude to you. I apologize for not explaining some aspects clearly in my previous...

Dr. Wu Xueming Reply:
1. If blood pressure is well controlled, it is certainly possible. 2. It can be taken long-term.

Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management

Inquiry Consultation Dear Dr. He, I would like to express my gratitude for your previous guidance regarding my mother's health concerns. I have some additional questions I would like to ask you. To provide a brief overview of my mother's condition: she is 68 years old...

Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are typical of autonomic nervous system dysfunction. Labtal has therapeutic effects on the autonomic nervous system and can be used regularly and long-term. However, Diovan 160mg does not have effects on the autonomic nervous system, which...

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